SARA MAHSHID SERATI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

NOT RENEWED

Business

Title

First Name

SARA

Middle

MAHSHID

Last Name

SERATI

Business Name

SARA MAHSHID SERATI OD

Original Issue Date

08/31/2012

Effective Date

08/31/2012

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

05/06/2014